ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has a history of hyperthyroidism. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Heat intolerance is expected in hyperthyroidism due to increased metabolism. Weight loss, tachycardia, and restlessness are more common.
Question 2 of 5
A nurse is assessing a client who is postoperative following abdominal surgery and has an indwelling urinary catheter that is draining dark yellow urine at 25 mL/hr. Which of the following interventions should the nurse anticipate?
Correct Answer: A
Rationale: The client has signs of dehydration and oliguria, which are low urine output and dark yellow urine. A fluid bolus can help restore the fluid balance and improve the renal perfusion. The normal urine output for an adult is 0.5-1.5 mL/kg/hr, and the client's urine output is only 25 mL/hr, which is below the minimum acceptable level. Dark yellow urine can indicate a high concentration of waste products and a low intake of fluids.
Choice B is wrong because continuous bladder irrigation is used to prevent or treat blood clots in the bladder after surgery or injury, not to increase urine output.
Choice C is wrong because a urine specimen for culture and sensitivity is used to diagnose a urinary tract infection, which is not the most likely cause of the client's low urine output. The client does not have other symptoms of infection, such as fever, pain, or cloudy urine.
Choice D is wrong because clamping the catheter tubing for 30 min can cause urinary retention, bladder distension, and increased risk of infection. It can also interfere with the accurate measurement of urine output.
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for modafinil for narcolepsy. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Monitoring for chest pain or palpitations is critical with modafinil, a stimulant used for narcolepsy, as it can cause cardiovascular side effects like tachycardia or hypertension.
Choice A is correct but not the priority; modafinil is typically taken in the morning to promote wakefulness, but safety monitoring is more critical.
Choice C is incorrect because modafinil is more likely to cause weight loss, not weight gain, due to its stimulant effects.
Choice D is incorrect because modafinil can be taken with or without food; a high-fat meal may delay absorption but is not necessary.
Question 4 of 5
A nurse is caring for a client who is receiving heparin for deep vein thrombosis. Which of the following laboratory values should the nurse monitor?
Correct Answer: B
Rationale: Monitoring aPTT (activated partial thromboplastin time) is essential for clients receiving heparin, as it measures the therapeutic effect of heparin on the intrinsic clotting pathway, ensuring the dose is within the therapeutic range (1.5-2.5 times the baseline).
Choice A is incorrect because INR is used to monitor warfarin, not heparin.
Choice C is incorrect because, while platelet count should be monitored to detect heparin-induced thrombocytopenia, aPTT is the primary test for heparin therapy.
Choice D is incorrect because heparin does not directly affect potassium levels; electrolyte monitoring is not a priority.
Question 5 of 5
A nurse is providing teaching to a client who has a new prescription for ipratropium for COPD. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Rinsing the mouth after using ipratropium, an anticholinergic inhaler, prevents dry mouth and reduces the risk of oral candidiasis, a potential side effect.
Choice B is incorrect because ipratropium provides gradual bronchodilation and does not offer immediate relief; short-acting beta-agonists like albuterol are used for acute symptoms.
Choice C is incorrect because ipratropium is typically used 3-4 times daily, not every 2 hours as needed; overuse can cause side effects like tachycardia.
Choice D is incorrect because a spacer can be used with ipratropium to improve medication delivery, especially for clients with poor inhaler technique.